<!-- 机构弹出框 -->
<div class="modal-content" style="width:800px; left:-100px">
<div class="modal-header">
	<button type="button" class="close"  ng-click="onClose();">&times;</button>
	<h6 class="modal-title">
		<span >新增参保人信息</span>
	</h6>
</div>
<div class="modal-body">
		<div class="full-width full-height ">
		
			<div class="row" style="margin-top:5px;">
			
			
		  <div class="form-group col-xs-6">
			    
			     <div class="col-xs-4 control-div text-right">
								<span class="red"> * </span>保险号:
				 </div>
			    
					<div class="col-xs-8">
						<input type="text" class="form-control" ng-maxlength="60" ng-model="person.personCard" ng-blur="onSociatioNumBlur();">
					</div>
				</div>
			
				<div class="form-group col-xs-6" >
				    <div class="col-xs-4 control-div text-right">
						<span class="red"> * </span>姓名:
					</div>
					<div class="col-xs-8">
						<input type="text" class="form-control" ng-maxlength="60" ng-model="person.name" readonly="readonly">
					</div>
				</div>
				
				
			</div>
			
			
			
			<div class="row" style="margin-top:5px;">
			
			
			<div class="form-group col-xs-6" >
				    <div class="col-xs-4 control-div text-right">
						<span class="red"> * </span>性别:
					</div>
					<div class="col-xs-8">
					 <select class="form-control" ng-model="person.gender" ng-options="c.code as c.label for c in baseService.sexCollection" >
						 	    	<option value="">-- 请选择 --</option>
					 </select> 
					</div>
				</div>
			   
			
				<div class="form-group col-xs-6" >
						   <div class="col-xs-4 control-div text-right">
								<span class="red"> * </span>案发时间:
							</div>
						<div class="col-xs-8">
							  <input type="text" class="form-control" fwa-datetime ng-model="person.happenDate"  data-type="month" style="cursor: pointer;">
						</div>
			   </div>
			   
			  
				
			</div>
			
			
			<div class="row" style="margin-top: 5px;">
			
			<div class="form-group col-xs-6" >
				     <div class="col-xs-4 control-div text-right">
								<span class="red"> * </span>证件类型:
					 </div>
					<div class="col-xs-8">
					
					<select ng-model="person.cardType" ng-options="c.codeno as c.codename for c in communityService.dictionaryMap['id_type']" class="form-control">
					  <option value="">---请选择---</option>
				    </select>
                
					</div>
				</div>
				
				<div class="form-group col-xs-6">
				     <div class="col-xs-4 control-div text-right">
								<span class="red"> * </span>证件号码:
					 </div>
					<div class="col-xs-8 ">
						<input type="text" class="form-control text-left" ng-maxlength="60" ng-model="person.cardNo">
					</div>
				</div>
			
			
			</div>
			
			
			
			
			<div class="row" style="margin-top: 5px;">
			     <div class="form-group col-xs-6" >
				     <div class="col-xs-4 control-div text-right">
					   电话号码:
					 </div>
					<div class="col-xs-8">
					
					<input type="text" class="form-control text-left" ng-maxlength="60" ng-model="person.phoneNumber">
                
					</div>
				</div>
				<div class="form-group col-xs-6">
				     <div class="col-xs-4 control-div text-right">
					     手机号码:
					 </div>
					<div class="col-xs-8 ">
						<input type="text" class="form-control text-left" ng-maxlength="11" ng-model="person.mobileNumber">
					</div>
				</div>
			 </div>
			 
			  <div class="row" style="margin-top: 5px;">
			  
			  <div class="form-group col-xs-12">
				      <div class="col-xs-4 control-div text-right" style="float: left;width: 16%;">
						<span class="red"> * </span>违规情节:
					 </div>
					<div style="float: left;width: 84%;padding-left: 3px;padding-right:3px;">
					   <select  class="form-control" ng-model="person.illegal" ng-options="c.attentionLevelId as c.illegal for c in selectIllegalList" ng-change="selectIlleaglChangeFun();">
						    
			            </select>
					</div>
			  </div>
			  
			  </div>
			 
			 <div class="row" style="margin-top: 5px;">
			 
			     <div class="form-group col-xs-6" >
				     <div class="col-xs-4 control-div text-right">
						<span class="red"> * </span>关注级别:
					 </div>
					<div class="col-xs-8">
						<select  class="form-control" ng-model="person.attentionLevel" ng-options="c.attentionMidId as c.attentionLevel for c in selectAttentionLevelList" ng-change="selectChangeFun();" disabled="disabled">
						    <option value="">--请选择--</option>
			            </select>
					</div>
				</div>
				
			 </div>
			 
			
			<div class="row" style="margin-top: 5px;">
				    <div class="form-group col-xs-6" >
					     <div class="col-xs-4 control-div text-right">
							 <span class="red"> * </span>关注时限:
						 </div>
						<div class="col-xs-8">
						
						<input type="text" class="form-control text-left" ng-maxlength="60" ng-model="person.attentionTime" readonly="readonly">
	                
						</div>
					</div>
				  <div class="form-group col-xs-6">
				     <div class="col-xs-4 control-div text-right">
							<span class="red"> * </span>有效期:
					 </div>
					<div class="col-xs-8">
					<input class="form-control" style="width:48%;" fwa-datetime="" data-type="month" data-format="yyyy-mm-dd" ng-model="person.dateStart">
					<input class="form-control" style="width:49%;" fwa-datetime="" data-type="month" data-format="yyyy-mm-dd" ng-model="person.dateEnd" disabled="disabled">
					</div>
				</div>
			</div>
			
			<div class="row" style="margin-top: 5px;">
				<div class="form-group col-xs-12">
				      <div class="col-xs-4 control-div text-right" style="float: left;width: 16%;">
						备注:
					 </div>
					<div style="float: left;width: 84%;padding-left: 3px;padding-right:3px;">
					    <textarea  class="form-control" style="height:100px" ng-model="person.inBlackReason"></textarea>
					</div>
			  </div>
			</div>
			
			
			<div class="row" style="margin-top: 5px;">
				    <div class="form-group col-xs-6" >
					     <div class="col-xs-4 control-div text-right">
							  退回原因:
						 </div>
						<div class="col-xs-8">
						<textarea  class="form-control" style="height:100px" ng-model="backReason" disabled="disabled"></textarea>
						</div>
					</div>
				
			</div>
						
	</div>


</div>
<div class="modal-footer">
 <div class="text-center">
	<button type="button" class="btn btn-primary btn-sm" ng-click="onSubmit();" >保存</button>
	<button type="button" class="btn btn-primary btn-sm" ng-click="onClose();" >取消</button>
 </div>
</div>
</div>